| NPI | 1811149453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49041) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-15-6906) |
| 103K00000X Behavior Analyst (Licence: TN 1941) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2026-07-10 |